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Deactivated NPI 1568849974 Deactivated / Inactive NPI Female Practitioner

Sara Kooima , MA, CCC-SLP

Speech-Language Pathologist • Lincoln, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sara Kooima has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 05, 2015
NPI Deactivation Date November 29, 2017
Total Practice Duration ~2 Years of Practice (2015 – 2017)

Professional Overview & Biography Verified Profile Summary

Sara Kooima, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Lincoln, MA. Throughout an active medical career spanning 2 years, Sara Kooima provided care at the practice location at 34C INDIAN CAMP LN until profile deactivation on 2017-11-29.

Practice Location & Contact Primary Location

Practice Address

34c Indian Camp Ln

Lincoln, MA 017731119

Telephone 6143165513

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lincoln, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Lincoln, MA (4034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 7487

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 29, 2017

Record deactivated on November 29, 2017

NPI Profile Active May 05, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2015

Registered at 34C INDIAN CAMP LN, LINCOLN, MA 017731119 (Tel: 6143165513)

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Updated Business Mailing Address May 05, 2015

Registered at 34C INDIAN CAMP LN, LINCOLN, MA 017731119 (Tel: 6143165513)

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Provider Name / Credentials Updated May 05, 2015

Recorded as SARA KOOIMA, MA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2015

Speech-Language Pathologist (License #7487 in MA)

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Initial NPI Registration & Enumeration May 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568849974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2015
Last Update: May 05, 2015
Deactivation Date: November 29, 2017

Mailing Address

34c Indian Camp Ln

Lincoln, MA 017731119

Phone: 6143165513

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.